The irony being that those tightly inegrated solutions tend to be some of the worst offenders in terms of being a nightmare for interop and walled-off silos. But they're popular because the pieces they do offer generally work.
And totally agree that the opportunity is there for highly targeted applications that cater to specific healthcare niches because the downside of the huge top-down systems is the fact that they're more generalized. But you have to be able to integrate them into that larger EMR environment for them to be realistically useful.
That said, the facility I'm at now (midsize, ~400 beds) took a best-of-breed approach and... well, there's a reason I say current interop is bad. It's appealing on the clinical side because groups like surgery or the ED or even endo get to run software designed to cater specifically to their needs, but the backend integration ends up being a huge exercise every time anything changes.
The irony being that those tightly inegrated solutions tend to be some of the worst offenders in terms of being a nightmare for interop and walled-off silos. But they're popular because the pieces they do offer generally work.
And totally agree that the opportunity is there for highly targeted applications that cater to specific healthcare niches because the downside of the huge top-down systems is the fact that they're more generalized. But you have to be able to integrate them into that larger EMR environment for them to be realistically useful.
That said, the facility I'm at now (midsize, ~400 beds) took a best-of-breed approach and... well, there's a reason I say current interop is bad. It's appealing on the clinical side because groups like surgery or the ED or even endo get to run software designed to cater specifically to their needs, but the backend integration ends up being a huge exercise every time anything changes.